Author Question: The nurse is caring for a patient with high cholesterol who has been prescribed atorvastatin ... (Read 26 times)

craiczarry · **on:** Jul 23, 2018

The nurse is caring for a patient with high cholesterol who has been prescribed atorvastatin (Lipitor). Which laboratory result indicates that the patient has been taking the medication as ordered and following the physician's dietary recommendations?

a. Serum triglyceride level 325 mg/dL
b. High-density lipoproteins (HDL) 56 mg/dL
c. Low-density lipoproteins (LDL) 155 mg/dL
d. Total cholesterol level 185 mg/dL

Question 2

The nurse is caring for a patient who has just had a massive myocardial infarction. Which is the priority nursing diagnosis for this patient?

a. Impaired comfort r/t noisy ICU environment and need for frequent monitoring
b. Interrupted family processes r/t hospitalization of primary wage earner
c. Readiness for enhanced knowledge r/t cardiac rehabilitation options
d. Decreased cardiac output r/t weakened cardiac muscle and irregular heartbeat

ricroger · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Total cholesterol levels should be less than 200 mg/dL, so a cholesterol level of 185 mg/dL indicates that the patient has been compliant with the prescribed therapy. The other laboratory results are abnormal and would not indicate compliance.

Answer to Question 2

ANS: D
Circulation and perfusion of body systems is the highest priority for patients who have suffered myocardial infarction. Decreased cardiac output can lead to poor oxygenation of tissues and organs. The other diagnoses may be addressed once cardiac output has increased and stabilized.